Virgo_RN BSN, RN

Cardiac Telemetry, ED

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All Content by Virgo_RN

  1. Virgo_RN

    Not properly trained for ER?????

    I think, as a general rule, that no, most new grads are not ready for a busy ER setting. There are exceptions, and some of those have been mentioned. I'd also like to mention that med/surg is no...
  2. Virgo_RN

    Horrible hospital experience!

    She may have been nice, but she dropped the ball. That drives me absolutely bonkers, those nurses that know they can get away with providing substandard care as long as they are
  3. Virgo_RN

    Normal to feel so stupid?

    I transferred to the ED, not a new nurse, just a new ED nurse. It's a different world from the floor! But I still feel like I should be getting it faster, since I'm not totally green as a
  4. Do your pumps not have a lockout feature to prevent
  5. Virgo_RN

    Patients paying for TV service in the hospital

    I can understand charging extra for premium channels, but for basic TV it seems a bit ridiculous. Seems like it should just be a part of the cost of doing
  6. Sorry, TLS, that must be
  7. Virgo_RN

    Quick question... IV protonix

    If you look under the side effects profile, both vertigo and tinnitus are listed, indicating ototoxicity. Ototoxicity can be related to rate of
  8. Actually, I just checked, and 70/60 has a MAP of
  9. Virgo_RN

    Flush bag when giving IVP meds?

    Yes, I know. Still against P&P at my facility. That's why it's silly,
  10. Virgo_RN

    Flush bag when giving IVP meds?

    I used to do that until I was told that it was against P&P unless the physician had specifically ordered IVF. Silly, I know, but be sure to check your facility's P&P on
  11. Generally speaking, I would say that any change in patient condition that is not resolved with nursing measures, but requires medical intervention, would buy a phone call to the doc. For example, say...
  12. Virgo_RN

    accurate I&O's possible??

    Some things that helped me: When you go in to do your initial assessment, make sure the water pitcher is full and the bedside table is clear of empty cups and dishes. If the patient prefers to drink...
  13. Virgo_RN

    Stuck on an unsafe floor (Vent, long)

    It seems to me your options are: 1) Quit. Yesterday. 2) Look for work elsewhere then quit when you find another job. 3) Stick it out for 3 more months, then put in for a
  14. Virgo_RN

    New Nurse having trouble with Techs

    "Should" they respect you? Yes, of course. But the ideal and the reality very frequently do not match up. This is true not just in nursing, but in life in general. I did not say that you are...
  15. Virgo_RN

    NEED HELP WITH WIFE

    I agree with Miranda. This is not about you, your classmates, your patients, or your future coworkers. It is about your wife. She needs to deal with this for the sake of her marriage and the sake...
  16. Virgo_RN

    New Nurse having trouble with Techs

    That statement right there stands out for me. I'm hearing that you expect to be respected by the techs simply because you are a nurse. This could be part of your problem. From their point of view,...
  17. Virgo_RN

    CODE question

    Remember your left sided vs. right sided heart failure. The left ventricle pumps blood to the systemic circulation, so when pumping is impaired, pressure builds up in the left ventricle, and the...
  18. Virgo_RN

    New Nurse having trouble with Techs

    Welcome to nursing! I'd bet the farm that this has been going on the whole time you were a tech, but you didn't notice it because you weren't the nurse. Maybe you never behaved this way toward the...
  19. Virgo_RN

    Shingles pain

    The doctor diagnosed shingles from a phone
  20. Breathe. Inhale deeply, and as you exhale, let your shoulders relax and clear your mind of chaotic thoughts. Do this before you walk into any patient room, and each time you are feeling
  21. Virgo_RN

    Disgusting Nurses!! SICK of my status as a CNA

    What a horrible experience! Even a patient in restraints can pull out an NGT or an IV in a flash, all it takes is just a few seconds, and while having a PCA present should decrease the likelihood of...
  22. Hey, you are not alone. It's a blood bath when I start an IV. By the time I'm done, the room looks like a scene out of a horror movie. I'm getting better,
  23. Virgo_RN

    checking BP before giving BP meds?

    Yes, take BP and HR prior to giving cardiac meds, and follow holding parameters. Having said that, this is where you need to know your meds, and understand the reasons you are giving them. It drives...
  24. Virgo_RN

    Rude Physician - Tips for Handling

    Oh, and as far as rude physicians, I just take it with a grain of salt. I don't take it personally when a patient is rude to me, so why should I take it personally when a doctor is? You will learn...
  25. Virgo_RN

    Rude Physician - Tips for Handling

    This is a situation where I probably would have consulted with my charge nurse before acting. If the family's concerns were about the surgery, then it is the surgeon who should have been called....